Halfway Competitive Markets and Ineffective Regulation

Download Halfway Competitive Markets and Ineffective Regulation PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

DOWNLOAD NOW!


Book Synopsis Halfway Competitive Markets and Ineffective Regulation by : Stuart Altman

Download or read book Halfway Competitive Markets and Ineffective Regulation written by Stuart Altman and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the late 1960s the U.S. has attempted to develop a strategy for controlling the rate of growth of health care spending. During the 1970s this strategy relied heavily on various forms of regulation. Some regulatory programs were partially successful in moderating spending increases, but they generated significant opposition--particularly from powerful provider groups, who successfully convinced Congress and the states to dismantle most of the regulatory structure and to substitute various forms of competitive approaches to controlling spending. Some of these competitive strategies have been successful in increasing the efficiency of subsections of our health system. But they too have produced losers, and the government has been pressured to enter the system to minimize their losses. The net result has been a political stalemate between halfway competitive markets and ineffective regulation. With the rate of health care spending growth near historic levels, it is likely that the 1990s will bring a return to a stronger role for government regulation. But it is unlikely that we are any more willing to tolerate the negative fallout from regulation today than we were in the 1970s, and therefore we predict that the proportion of GNP going to health care will continue to grow throughout the remainder of this century.

Competition in the Health Care Sector

Download Competition in the Health Care Sector PDF Online Free

Author :
Publisher : Duke University Press
ISBN 13 : 9780822308935
Total Pages : 174 pages
Book Rating : 4.3/5 (89 download)

DOWNLOAD NOW!


Book Synopsis Competition in the Health Care Sector by : Warren Greenberg

Download or read book Competition in the Health Care Sector written by Warren Greenberg and published by Duke University Press. This book was released on 1988 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Competition. Deregulation. Free market forces. The debate over competition in health care that raged in the 1970s brought with it a new economic jargon, a vocabulary of concepts and issues unheard of in hospitals a decade earlier. "Competition in health care has developed to a greater degree than most economists predicted ten years ago. That is the conclusion of Warren Greenberg in his introduction to Competition in the Health Care Sector: Ten Years Later, a retrospective of a 1977 Federal Trade Commission conference, which produced the landmark treatise Competition in the Health Care Sector: Past, Present, and Future. Seven of the ten original papers are reexamined; a chapter on the nursing home industry has been added. "As with the original volume, Greenberg predicts that the retrospective will become a critical element in the health care economic literature."--Hospitals

Creating Competitive Markets

Download Creating Competitive Markets PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 392 pages
Book Rating : 4.F/5 ( download)

DOWNLOAD NOW!


Book Synopsis Creating Competitive Markets by : Marc Karnis Landy

Download or read book Creating Competitive Markets written by Marc Karnis Landy and published by . This book was released on 2007 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Promoting competition is not just about removing legal controls and then getting out of the way. It also requires that policymakers consciously design new markets, often with significant rules and regulations to promote efficiency. In this book, leading experts from academia, government, and the private sector evaluate efforts at market design.

Screwed

Download Screwed PDF Online Free

Author :
Publisher : Berrett-Koehler Publishers
ISBN 13 : 1605098698
Total Pages : 285 pages
Book Rating : 4.6/5 (5 download)

DOWNLOAD NOW!


Book Synopsis Screwed by : Thom Hartmann

Download or read book Screwed written by Thom Hartmann and published by Berrett-Koehler Publishers. This book was released on 2007-04-28 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: By the bestselling author and XM and Sirius Satellite radio host heard on more than eighty radio stations coast to coast seven days a week Reveals how the middle class, nurtured as the backbone of democracy by our Founding Fathers, is being undermined by so-called conservatives Shows how we can reverse the erosion of the middle class and restore the egalitarian vision of the Founders Expanded edition with a new chapter on immigration and a new afterword by Greg Palast The American middle class is on its deathbed. Ordinary folks who put in a solid day's work can no longer afford to buy a house, send their kids to college, or even get sick. If you're not a CEO, you're probably screwed. America wasn't meant to be like this. Air America Radio host Thom Hartmann shows that our Founding Fathers worked hard to ensure that a small group of wealthy people would never dominate this country--they'd had enough of aristocracy. They put policies in place to ensure a thriving middle class. When the middle class took a hit, beginning in the post-Civil War Gilded Age and culminating in the Great Depression, democracy-loving leaders like Theodore and Franklin Roosevelt, Harry Truman, and Dwight Eisenhower revitalized it through initiatives like antitrust regulations, fair labor laws, the minimum wage, Social Security, and Medicare. So what happened? In the last twenty-five years, we've witnessed an undeclared war against the middle class. The so-called conservatives waging this war are only interested in conserving--and steadily increasing--their own wealth and power. Hartmann shows how, under the guise of "freeing" the market, they've systematically dismantled the programs set up by Republicans and Democrats to protect the middle class and have installed policies that favor the superrich and corporations. But it's not too late to return to the America our Founders envisioned. Hartmann outlines a series of commonsense proposals that will ensure that our public institutions are not turned into private fiefdoms and that people's basic needs--education, health care, a living wage--are met in a way that allows the middle class to expand, not shrink. America will be stronger with a growing, prospering middle class--rule by the rich will only make it weaker. Democracy requires a fair playing field, and it will survive only if We the People stand up, speak out, and reclaim our democratic birthright.

Health Care Policy and Regulation

Download Health Care Policy and Regulation PDF Online Free

Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461522196
Total Pages : 260 pages
Book Rating : 4.4/5 (615 download)

DOWNLOAD NOW!


Book Synopsis Health Care Policy and Regulation by : Thomas A. Abbott III

Download or read book Health Care Policy and Regulation written by Thomas A. Abbott III and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: 5 care reforms. Part II: Price Regulation The second partofthis volume examines the role ofprice regulation in controlling health care costs. It contains three chapters. In chapter seven, I examine the alternatives for regulating pharmaceutical prices. In chapter eight, Jack Hadley examines the impactofvarious forms ofhospital price regulation; while in chapter nine,MarkPaulyexaminestheroleofpriceregulation incontrollingphysician fees. Chapter seven focuses on the issue of regulating pharmaceutical prices. There are two key issues examined in this paper. First, is there a clear need for price regulation, and second, can price regulation work in this industry? In response to the first question, I come to the conclusion that the proponents ofprice regulation have not really proven their case. Although the financial returns in the pharmaceu tical industry have been slightly higher than expected during the 1970s and 1980s, there is not overwhelming evidence of"price gouging" or excessive profits on the part of the industry. In response to the second question, the answer is clearly no. The traditional approaches to price regulation will not have the intended affect of eliminating excess profits from the industry while maintaining the incentives for research and development. First, rate-of-return regulation, the most natural approach, would result in many adverse incentives-includingexcessive investment in research and developmentinorderto inflatetheratebaseused tocalculatedtheallowablereturns.

Health Care Financing Review

Download Health Care Financing Review PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 760 pages
Book Rating : 4.:/5 (319 download)

DOWNLOAD NOW!


Book Synopsis Health Care Financing Review by :

Download or read book Health Care Financing Review written by and published by . This book was released on 1991 with total page 760 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An International Assessment of Health Care Financing

Download An International Assessment of Health Care Financing PDF Online Free

Author :
Publisher : World Bank Publications
ISBN 13 : 9780821332535
Total Pages : 212 pages
Book Rating : 4.3/5 (325 download)

DOWNLOAD NOW!


Book Synopsis An International Assessment of Health Care Financing by : David W. Dunlop

Download or read book An International Assessment of Health Care Financing written by David W. Dunlop and published by World Bank Publications. This book was released on 1995-01-01 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Bank Discussion Paper No. 308. A major obstacle in creating secure banks in transitional economies is the absence of political will and the lack of traditions and techniques for governing and regulating financial intermediaries. This paper provides a comprehensive, annotated model contract for policymakers and bank executives to help them discipline troubled banks.

Balancing Act

Download Balancing Act PDF Online Free

Author :
Publisher : Georgetown University Press
ISBN 13 : 9781589012462
Total Pages : 196 pages
Book Rating : 4.0/5 (124 download)

DOWNLOAD NOW!


Book Synopsis Balancing Act by : E. Haavi Morreim

Download or read book Balancing Act written by E. Haavi Morreim and published by Georgetown University Press. This book was released on 1995-03-01 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicine's changing economics have already fundamentally, permanently altered the relationship between physician and patient, E. Haavi Morreim argues. Physicians must weigh a patient's interests against the legitimate, competing claims of other patients, of payers, of society as a whole, and sometimes even of the physician himself. Focusing on actual situations in the clinical setting, Morreim explores the complex moral problems that current economic realities pose for the practicing physician. She redefines the moral obligations of both physicians and patients, traces the specific effects of these redefined obligations on clinical practice, and explores the implications for patients as individuals and for national health policy. Although the book focuses on health care in the United States, physicians everywhere are likely to face many of the same basic issues of clinical ethics, because every system of health care financing and distribution today is constrained by finite resources.

Screwed (EasyRead Edition)

Download Screwed (EasyRead Edition) PDF Online Free

Author :
Publisher : ReadHowYouWant.com
ISBN 13 : 1442963549
Total Pages : 322 pages
Book Rating : 4.4/5 (429 download)

DOWNLOAD NOW!


Book Synopsis Screwed (EasyRead Edition) by : Thom Hartmann

Download or read book Screwed (EasyRead Edition) written by Thom Hartmann and published by ReadHowYouWant.com. This book was released on 2007 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Conflicts of Interest and the Future of Medicine

Download Conflicts of Interest and the Future of Medicine PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 0199793042
Total Pages : 392 pages
Book Rating : 4.1/5 (997 download)

DOWNLOAD NOW!


Book Synopsis Conflicts of Interest and the Future of Medicine by : Marc A. Rodwin

Download or read book Conflicts of Interest and the Future of Medicine written by Marc A. Rodwin and published by Oxford University Press. This book was released on 2011-02-16 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: As most Americans know, conflicts of interest riddle the US health care system. They result from physicians practicing medicine as entrepreneurs, from physicians' ties to pharma, and from investor-owned firms and insurers' influence over physicians' medial choices. These conflicts raise questions about physicians' loyalty to their patients and their professional and economic independence. The consequences of such conflicts of interest are often devastating for the patients--and society--stuck in the middle. In Conflicts of Interest and the Future of Medicine, Marc Rodwin examines the development of these conflicts in the US, France, and Japan. He shows that national differences in the organization of medical practice and the interplay of organized medicine, the market, and the state give rise to variations in the type and prevalence of such conflicts. He then analyzes the strategies that each nation employs to cope with them. Unfortunately, many proposals to address physicians' conflicts of interest do not offer solutions that stick. But drawing on the experiences of these three nations, Rodwin demonstrates that we can mitigate these problems with carefully planned reform and regulation. He examines a range of measures that can be taken in the private and public sector to preserve medical professionalism--and concludes that there just might be more than one prescription to this seemingly incurable malady.

Underlying Causes of Rising Health Care Costs

Download Underlying Causes of Rising Health Care Costs PDF Online Free

Author :
Publisher :
ISBN 13 :
Total Pages : 118 pages
Book Rating : 4.0/5 ( download)

DOWNLOAD NOW!


Book Synopsis Underlying Causes of Rising Health Care Costs by : United States. Congress. Senate. Committee on Finance

Download or read book Underlying Causes of Rising Health Care Costs written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1994 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Politics and Policy in America

Download Health Care Politics and Policy in America PDF Online Free

Author :
Publisher : M.E. Sharpe
ISBN 13 : 9780765603906
Total Pages : 484 pages
Book Rating : 4.6/5 (39 download)

DOWNLOAD NOW!


Book Synopsis Health Care Politics and Policy in America by : Kant Patel

Download or read book Health Care Politics and Policy in America written by Kant Patel and published by M.E. Sharpe. This book was released on 1999 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully updated in this new edition, Health Care Politics and Policy in America combines a historical overview of U.S. health policy and programs with analysis of current trends and reform efforts. The book -- shows how health policy fits into the larger social, economic, political, and ideological environment of the United States; -- identifies the roles played by both public and private, institutional and individual actors in shaping the health care system at all levels; -- considers the trade-offs inherent in various policy choices and their impacts on different social groups; -- takes account of the dynamic impact of technological change on health care capacities, costs, and ethics. This edition includes expanded discussion of equity issues and whether there is a "right" to health care, and a new chapter on the issue of medical liability. The concluding chapter brings the story of health care policy up to the end of the millennium, with particular attention to the managed care revolution and reaction to it. The book equips readers with the basic tools for drawing more informed judgments in the ongoing debate about health care policy in the United States.

Screwed (Volume 2 of 2) (EasyRead Super Large 24pt Edition)

Download Screwed (Volume 2 of 2) (EasyRead Super Large 24pt Edition) PDF Online Free

Author :
Publisher : ReadHowYouWant.com
ISBN 13 : 1442963972
Total Pages : 374 pages
Book Rating : 4.4/5 (429 download)

DOWNLOAD NOW!


Book Synopsis Screwed (Volume 2 of 2) (EasyRead Super Large 24pt Edition) by :

Download or read book Screwed (Volume 2 of 2) (EasyRead Super Large 24pt Edition) written by and published by ReadHowYouWant.com. This book was released on with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt:

A Just Minimum of Health Care

Download A Just Minimum of Health Care PDF Online Free

Author :
Publisher : University Press of America
ISBN 13 : 9780761807544
Total Pages : 180 pages
Book Rating : 4.8/5 (75 download)

DOWNLOAD NOW!


Book Synopsis A Just Minimum of Health Care by : Kenneth F. T. Cust

Download or read book A Just Minimum of Health Care written by Kenneth F. T. Cust and published by University Press of America. This book was released on 1997 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the context of both the US and Canadian health care systems, critiques two approaches to justice, Norman Daniel's fair equality of opportunity and Allen Buchanan's right to a decent minimum of health care. After finding neither able to carry the moral weight their authors thought, proposes David Gauthier's theory of justice, and shows how it can lead to a right to a just minimum that would resolve the theoretical bottomless-pit problem. Annotation copyrighted by Book News, Inc., Portland, OR

The Social Medicine Reader, Second Edition

Download The Social Medicine Reader, Second Edition PDF Online Free

Author :
Publisher : Duke University Press
ISBN 13 : 0822387344
Total Pages : 303 pages
Book Rating : 4.8/5 (223 download)

DOWNLOAD NOW!


Book Synopsis The Social Medicine Reader, Second Edition by : Ronald P. Strauss

Download or read book The Social Medicine Reader, Second Edition written by Ronald P. Strauss and published by Duke University Press. This book was released on 2005-08-29 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: Duke University Press is pleased to announce the second edition of the bestselling Social Medicine Reader. The Reader provides a survey of the challenging issues facing today’s health care providers, patients, and caregivers by bringing together moving narratives of illness, commentaries by physicians, debates about complex medical cases, and conceptually and empirically based writings by scholars in medicine, the social sciences, and the humanities. The first edition of The Social Medicine Reader was a single volume. This significantly revised and expanded second edition is divided into three volumes to facilitate use by different audiences with varying interests. Praise for the 3-volume second edition of The Social Medicine Reader: “A superb collection of essays that illuminate the role of medicine in modern society. Students and general readers are not likely to find anything better.”—Arnold S. Relman, Professor Emeritus of Medicine and Social Medicine, Harvard Medical School Praise for the first edition: “This reviewer strongly recommends The Social Medicine Reader to the attention of medical educators.”—Samuel W. Bloom, JAMA: The Journal of the American Medical Association Volume 3: Over the past four decades the American health care system has witnessed dramatic changes in private health insurance, campaigns to enact national health insurance, and the rise (and perhaps fall) of managed care. Bringing together seventeen pieces new to this second edition of The Social Medicine Reader and four pieces from the first edition, Health Policy, Markets, and Medicine draws on a broad range of disciplinary perspectives—including political science, economics, history, and bioethics—to consider changes in health care and the future of U.S. health policy. Contributors analyze the historical and moral foundation of today’s policy debates, examine why health care spending is so hard to control in the United States, and explain the political dynamics of Medicare and Medicaid. Selections address the rise of managed care, its impact on patients and physicians, and the ethical implications of applying a business ethos to medical care; they also compare the U.S. health care system to the systems in European countries, Canada, and Japan. Additional readings probe contemporary policy issues, including the emergence of consumer-driven health care, efforts to move quality of care to the top of the policy agenda, and the implications of the aging of America for public policy. Contributors: Henry J. Aaron, Drew E. Altman, George J. Annas, Robert H. Binstock, Thomas Bodenheimer, Troyen A. Brennan, Robert H. Brook, Lawrence D. Brown, Daniel Callahan, Jafna L. Cox, Victor R. Fuchs, Kevin Grumbach, Rudolf Klein, Robert Kuttner, Larry Levitt, Donald L. Madison, Wendy K. Mariner, Elizabeth A. McGlynn, Jonathan Oberlander, Geov Parrish, Sharon Redmayne, Uwe E. Reinhardt, Michael S. Sparer, Deborah Stone

Power, Politics, and Universal Health Care

Download Power, Politics, and Universal Health Care PDF Online Free

Author :
Publisher : Prometheus Books
ISBN 13 : 1616144572
Total Pages : 479 pages
Book Rating : 4.6/5 (161 download)

DOWNLOAD NOW!


Book Synopsis Power, Politics, and Universal Health Care by : Stuart Altman

Download or read book Power, Politics, and Universal Health Care written by Stuart Altman and published by Prometheus Books. This book was released on 2011-09-27 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential reading for every American who must navigate the US health care system. Why was the Obama health plan so controversial and difficult to understand? In this readable, entertaining, and substantive book, Stuart Altman—internationally recognized expert in health policy and adviser to five US presidents—and fellow health care specialist David Shactman explain not only the Obama health plan but also many of the intriguing stories in the hundred-year saga leading up to the landmark 2010 legislation. Blending political intrigue, policy substance, and good old-fashioned storytelling, this is the first book to place the Obama health plan within a historical perspective. The authors describe the sometimes haphazard, piece-by-piece construction of the nation’s health care system, from the early efforts of Franklin Roosevelt and Harry Truman to the later additions of Ronald Reagan and George W. Bush. In each case, they examine the factors that led to success or failure, often by illuminating little-known political maneuvers that brought about immense shifts in policy or thwarted herculean efforts at reform. The authors look at key moments in health care history: the Hill–Burton Act in 1946, in which one determined poverty lawyer secured the rights of the uninsured poor to get hospital care; the "three-layer cake" strategy of powerful House Ways and Means Committee Chairman Wilbur Mills to enact Medicare and Medicaid under Lyndon Johnson in 1965; the odd story of how Medicare catastrophic insurance was passed by Ronald Reagan in 1988 and then repealed because of public anger in 1989; and the fact that the largest and most expensive expansion of Medicare was enacted by George W. Bush in 2003. President Barack Obama is the protagonist in the climactic chapter, learning from the successes and failures chronicled throughout the narrative. The authors relate how, in the midst of a worldwide financial meltdown, Obama overcame seemingly impossible obstacles to accomplish what other presidents had tried and failed to achieve for nearly one hundred years.

Medicine, Money, and Morals

Download Medicine, Money, and Morals PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 0198024266
Total Pages : 432 pages
Book Rating : 4.1/5 (98 download)

DOWNLOAD NOW!


Book Synopsis Medicine, Money, and Morals by : Marc A. Rodwin

Download or read book Medicine, Money, and Morals written by Marc A. Rodwin and published by Oxford University Press. This book was released on 1995-04-20 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Marc A. Rodwin draws on his own experience as a health lawyer--and his research in health ethics, law, and policy--to reveal how financial conflicts of interest can and do negatively affect the quality of patient care. He shows that the problem has become worse over the last century and provides many actual examples of how doctors' decisions are influenced by financial considerations. We learn how two California physicians, for example, resumed referrals to Pasadena General Hospital only after the hospital started paying $70 per patient (their referrals grew from 14 in one month to 82 in the next). As Rodwin writes, incentives such as this can inhibit a doctor from taking action when a hospital fails to provide proper service, and may also lead to the unnecessary hospitalization of patients. We also learn of a Wyeth-Ayerst Labs promotion in which physicians who started patients on INDERAL (a drug for high blood pressure, angina, and migraines) received 1000 mileage points on American Airlines for each patient (studies show that promotions such as this have a direct effect on a doctor's choice of drug). Rodwin reveals why the medical community has failed to regulate conflicts of interest: peer review has little authority, state licensing boards are usually ignorant of abuses, and the AMA code of ethics has historically been recommended rather than required. He examines what can be learned from the way society has coped with the conflicts of interest of other professionals --lawyers, government officials, and businessmen--all of which are held to higher standards of accountability than doctors. And he recommends that efforts be made to prohibit and regulate certain kinds of activity (such as kickbacks and self-referrals), to monitor and regulate conduct, and to provide penalties for improper conduct. Our failure to face physicians' conflicts of interest has distorted the way medicine is practiced, compromised the loyalty of doctors to patients, and harmed society, the integrity of the medical profession, and patients. For those concerned with the quality of health care or medical ethics, Medicine, Money and Morals is a provocative look into the current health care crisis and a powerful prescription for change.